Q. From my father's reports, could you advise the next step of treatment for bladder cancer?

Answered by
Dr. Devendra
and medically reviewed by iCliniq medical review team.
Published on Mar 25, 2017

Hi doctor,

My father, who is 72, was diagnosed with bladder tumor a month ago when he went to the local doctor for the treatment of blood drops in the urine. I have attached the diagnosis report for your reference. The doctors advised to operate it as soon as possible, and the operation took place 10 days ago. The biopsy report says high-grade transitional cell carcinoma of stage G3pT2. I have attached the report for your reference. Could you please advise the next step of the treatment? Please let me know if you require additional information which I have not provided with this case. Your help would be highly appreciated.

Dr. Devendra

Urology
#

Hi,

Welcome to icliniq.com.

  • This report (attachment removed to protect patient identity) of high-grade TCC (transitional cell carcinoma) with large tumor with muscle invasion is not a good tumor.
  • At this stage, we need to do a metastatic evaluation to rule out any distant spread of this tumor.
  • Hoping that it turns out to be non metastatic and he is in good general health, the best option will be to do radical cystectomy with urinary diversion.
  • The most common diversion performed is ileal conduit to form urinary collection pouch out of a segment of intestine and form a stoma over abdomen where external collection bags can be used.
  • If not operated, the localized high-grade nature will lead to rapid progression of the disease. If metastatic surgery will not help and then, palliation is the target.

Investigations to be done:

LFT (liver function test) and CXR (chest x-ray). If anything suspicious further imaging like bone scan or chest CT. May also undergo PET-CT instead to evaluate for metastasis.

Probable diagnosis:

Carcinoma Bladder T2 G3.

Treatment plan:

Metastatic workup and fitness for surgery

Regarding follow up:

For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Related Questions & Answers


Kindly explain the results of the pathology report of my mother who had breast surgery for cancer.

Query: Hi doctor, My mother underwent a breast surgery for breast cancer recently. I have attached her pathology report. She is taking medicines for cholesterol. Please explain it.  Read Full »

Palliative Care in Heart Failure

Article Overview: Proper care in heart failure relieves symptoms, improves patient satisfaction and decreases the care costs. But, only a small fraction of end-stage heart failure patients receive palliative care consultation. Read Article


Dr. Karim Hnid
Cardiologist

Heart failure is a condition, which has a set of symptoms where the heart cannot provide the blood flow necessary for the needs of the body. Heart failure usually develops slowly after a heart damage caused by a heart attack or excessive heart fatigue after years of untreated hypertension or valvulo...  Read Article

Popular

Popular

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.